摘要
目的探讨结肠癌患者实施联合胰十二指肠切除术(PD)的必要性和方法。方法总结1994年1月至2002年12月间1750例结直肠癌患者中5例横结肠癌患者(0.3%)行联合PD术的临床资料。结果结肠癌联合PD术的5例患者(其中1例加肠系膜上静脉部分切除吻合)均无手术死亡。1例术后并发胰瘘和切口感染,但均康复出院。3例术后半年因肿瘤复发死亡,2例随访至今45个月和72个月仍无瘤生存。结论结肠癌侵犯胰十二指肠较少见。结肠癌联合胰十二指肠切除手术是安全的,能为部分患者提供长期生存的机会。
Objective To review our experience with pancreaticoduodenectomy and discuss its necessity and indications for advanced right colonic carcinoma. Methods There were 5 cases receiving pancreaticoduodenectomy among 1750 cases of colorectal carcinoma from January 1994 to December 2002.The clinical data were analyzed retrospectively. Results Five patients with right colonic carcinoma invading adjacent organs underwent en bloc right hemicolectomy and pancreaticoduodenectomy, and one of them had superior mensenteric vein resected partially. No operative death occurred. Complications only occurred in one patient. Three patients died of recurrence and metastasis at 6 months after operation. Two patients were still alive and free of disease after follow up for 45 and 72 months respectively. Conclusions Locally advanced right colonic carcinoma can be safely treated with en bloc pancreaticoduodenectomy and colectomy, and some patients can survive for long time.
出处
《中华胃肠外科杂志》
CAS
2004年第1期35-37,共3页
Chinese Journal of Gastrointestinal Surgery
